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NPI Code Detail

MEDICARE: DR. MOHAMMAD H ESLAMI M.D.

MEDICARE: DR. MOHAMMAD H ESLAMI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0129XVascular Surgery Physician32952NJ

General Provider Information

NPI Number : 1780665786
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMMAD H ESLAMI M.D.
Provider Business Mailing Address
First Line : 501 MORRIS ST
Second Line :
City : CHARLESTON
State : WV
Zip : 25301-1326
Country : US
Telephone Number : 304-647-6006
Fax Number :
Provider Business Practice Location Address
First Line : 3200 MACCORKLE AVE SE
Second Line :
City : CHARLESTON
State : WV
Zip : 25304-1227
Country : US
Telephone Number : 304-647-6006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 10/11/2023

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